... This structure was followed for the three groups of truck classifications: Classes and trucks (pickups, vans, SUVs), Classes to trucks (mediumduty trucks, such as delivery vans), and Classes and ... difficult For example, the transmission has an oil cooler to dissipate losses One must then determine if these losses should be reflected in the transmission or the cooling system Designs for improved ... cooling system seem feasible For a given indicated horsepower, decreases in engine friction, pumping losses, use of accessory systems, and transmission losses will increase brake horsepower If these...
... infectious diseases; information needs; access to health system and services and the training and skill of health workers The most prominent risks to life are identified as those directly associated ... conditions by the health professionals as well as by society at large This lack of awareness compounded by women s low status has resulted in women considering their problems to be ’normal’ The social ... intercountry variations Such a review is impossible at present, because the necessary evidence is simply not available There are several possible reasons for the lack of a comprehensive database on reproductive...
... otherwise) might threaten the company s solvency but the responsibility does not require them to make any assessment ofthe company sfinancial health beyond an assessment ofthe company s prospects ... concern’ has been one ofthe biggest issues facing auditors since the onset ofthe global financial crisis in the second half of 2007 Financial statements normally have to be prepared on this basis, ... performance: • the steps it has taken to assess the effectiveness ofthe audit • the policies that the AC has adopted to ensure that the auditor s independence is not compromised by the provision of any...
... Foundation Trust University Hospital of North Staffordshire NHS Trust East Sussex Hospitals NHS Trust Derby City PCT East Sussex Downs and Weald PCT Guy s and St Thomas’ NHS Foundation Trust Isle of Wight ... Hospital NHS Trust West Midlands Ambulance Service NHS Trust West Midlands Strategic Health Authority West Suffolk Hospitals NHS Trust West Sussex PCT Western Cheshire PCT Western Sussex Hospitals ... Care NHS Trust Mid Cheshire Hospitals NHS Foundation Trust Mid Essex Hospital Services NHS Trust Mid Essex PCT Mid Staffordshire NHS Foundation Trust Mid Yorkshire Hospitals NHS Trust Middlesbrough...
... business goals the system will address [150] Hence, identifying business goals, determining the strategic business issues and strategic requirement identification are essential elements ofthe ... project success by assessing the resulting system against the planned objectives, user expectations, project budget and goals by obtaining user s consensus on the differences The project management ... team, the risk of failure is greater 4.4.15 Inadequate IT system issue Technical software capabilities must be studied before implementation matters and their impact on business processes assessed;...
... government securities as defined in the FSA Sourcebook3 The class of property used must remain the same for the lifetime ofthe programme The classes are based on the three key classes of assets used ... depositors The FSA monitors cover bond issuance and other significant forms of asset encumbrance on a case-by-case basis3 This assessment considers the volume of encumbered assets as a proportion ofthe ... bonds and the asset pools backing them also reduces the links between the perceived resilience ofthe issuer and investors’ assessment of its covered bonds Reduced reliance on the issuer benefits...
... of doing business, this section focuses on how CCMS can assist in addressing issues impacting existing business operations The primary business problems that would be addressed are listed in Table ... superior courts to adopt and use the system The governance plan should also assess the business value of partial deployment ofthe system if total deployment is not feasible The benefits ofthe ... assess and define success in terms of cost, schedule, and scope for the entire completion ofthe project Produce a viable V4 software product that meets the common business needs ofthe courts,...
... imaging suggests an overall interval reduction ofthe size ofthe mass within the sella turcica There is persistent tumor present within the right cavernous sinus This has maximal measurements of ... longest reported survival was 21 years [2] In the same series, survival was found to be associated with location of metastases; metastases outside the craniospinal axes were associated with a shorter ... analysis, and a loss -of- heterozygosity analysis between pituitary tumors and their metastases However, a recent case report undermines this theory by describing the distinct clonal composition of...
... appendicectomy was carried out and an omental deposit was sampled for histological assessment Gross examination ofthe specimen revealed a 40 mm diameter tumour arising from the mucosal aspect ofthe bowel ... the tumour Histology ofthe tumour (Figure 3) showed that it was composed of scattered small glandular structures and also scattered bizarre single tumour cells The tumour cells expressed cytokeratin ... 19.9 There was no expression of CK20, CDX2 or CEA These findings support an upper gastrointestinal/pancreatico-biliary origin Associated with the tumour were nests of cells with a pancreatic islet...
... assessment of tumor biology and response to chemotherapy Four other studies support the conclusions ofthe EORTC study supporting the use of chemotherapy as a bridge to resectable disease in the subset ... analysis as opposed to the five factors associated with Fong 's CRS discussed previously Hence, the CRS used for prognosis of outcome and patient selection does not include bilobar disease and survivals ... discussion of completed and ongoing trials for chemotherapy is beyond the scope of this review Herein, we will focus on the surgical aspects ofthemanagementof CLM and restrict discussion of...
... malignancies We tried to increase chances of cure the patients accepting possible risks in a matter of decades in case of success IMRT was feasible even if anaesthesia was necessary and resulted ... FS is responsible for data acquisition, literature research and writing ofthe manuscript ES is responsible for data acquisition, statistical analysis and writing ofthe manuscript SN is responsible ... benefits of IMRT like the sparing of organs at risk and the possibility of dose escalation were considered to be more important for the treatment success than the potentially increased risk of secondary...
... possible strategy This case illustrates that this hypothesis was successful and should be considered as a strategy in case of irresectable unicentric disease The question remains which policy should ... POEMS syndrome, amyloidosis, renal insufficiency and increased risk of lymphoma [5,9-11] Therefore specific systemic therapy related to the associated disorder is indicated There is no consensus ... is considered to be the most adequate therapy for unicentric resectable cases of CD, as it seems to be curative in almost all ofthe cases [4,6,12-20] Radiotherapy has also been described as...
... tests used, and associated statistical and clinical significance MPE independently assessed the data extracted and conclusions drawn Assessment of risk of bias in included studies We used The ... reference lists of articles, or by contacting experts in the field or osteoporosis foundations/societies Characteristics of study design and setting Table describes the included studies There were ... (one study was rejected on these grounds) As an overall summary measure of effectiveness, the risk ratio and RDs were calculated using meta-analysis for both ofthe main outcomes ofthe review...
... Discussion The diagnosis of Sheehan s syndrome is determined by the patient s history and physical examination, and confirmed by laboratory tests (hormone levels and hormone stimulation tests ... are the main causes of hyponatremia It also seems that Sheehan s syndrome has hematological consequences, to which little attention is paid because of their rarity Anemia is well recognized as ... within the framework of hematologic disorders, pancytopenia is rarely observed in patients affected with Sheehan s syndrome A literature review revealed the rarity of this disorder The first case...
... and others in the Middle and Far East, evidence suggests that this disease should be included among the diagnostic possibilities in cases of Budd-Chiari syndrome Severe vascular complications of ... the diagnostic possibilities in cases of Budd-Chiari syndrome because the third most common cause from a total of 75 patients diagnosed with Budd-Chiari syndrome was Behỗets disease [14] Thus, ... both, is a rare and serious complication of Behỗets disease, these authors from a University Hospital in Turkey presented 30 cases of Budd-Chiari syndrome, of whom patients with Behỗets disease comprised...
... friable mesentery An end-to-end seromuscular, single-layered anastomosis using a 4-0 synthetic absorbable suture, was performed to restore the continuity ofthe small bowel Thorough washout ofthe ... neoplasms arising within MD is rare, representing less than 1% of cases [11], they may be a potential risk factor A large reviewof 1605 cases of complications of MD identified only 24 cases [9] ... lesions within MD, such as lipomas, have also been recognized as a potential cause of torsion [12] Complications associated with this presentation include intussusception, with the tumor as the...
... across multiple sites, they are stronger than the other Six Sigma studies in terms of external validity In spite of this strength, they still both share many ofthe same limitations and concerns, ... take some satisfaction from the fact that all of these studies attributed successes to the implementation ofthe various strategies Unfortunately, the universally reported effectiveness of each strategy ... clinic The inclusion ofthe comparison group, which had no changes, strengthens the conclusion the intervention was the necessary and sufficient condition for the changes in outcomes None ofthe other...
... Journal of Medical Case Reports 2007, 1:176 matous colitis in HPS is because of ceroid deposition or reflects the coexistence of Crohn 's disease and HPS An analysis of most reported cases, since Schinella ... first reported granulomatous colitis in association with HPS (1980), suggests that the colitis of HPS is simply a reaction to the tissue deposition of ceroid [4] Yet, there are reported cases of ... literature reveals no consistent success with the standard medical therapy used in treating Crohn 's disease and in some of these cases surgical intervention was necessary [3] Infliximab is a chimeric...
... protocols are not well established because ofthe paucity of cases and the lack of large studies, chemotherapy remains the treatment of choice given the systemic nature ofthe disease [1,2] Since small ... enolase (NSE) A diagnosis of primary small cell carcinoma ofthe distal third ofthe esophagus arising from dysplastic Barrett 's esophagus was made The patient received another month course of postoperative ... rare case of primary small cell carcinoma ofthe distal third ofthe esophagus arising from dysplastic Barrett 's mucosa is presented and the relevant literature is reviewed Figure esophagus Initial...
... because ofthe nebulous nature ofthe distinction between these entities in the pre-operative setting The best surgical managementof a patient with an appendiceal mucocele remains a subject of ... ascertain the safety profile ofthe approach we employed Systematic work-up and follow-up of patients with mucinous cystadenoma ofthe appendix should be undertaken because ofthe reported association ... frequency (50%) in patients with appendicular mucinous cystadenomas [10] It is also important to note that the varying thickness ofthe wall ofthe mass on CT scans has not been shown to correlate with...